ArticleJournal of the American Academy of Child and Adolescent Psychiatry2012
Testing the construct validity of proposed criteria for DSM-5 autism spectrum disorder.
Article in Journal of the American Academy of Child and Adolescent Psychiatry, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers, 1 of them a synthesis that pooled it.
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Who cites it
74 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Recognition of emotions in autism: a formal meta-analysis.Journal of autism and developmental disorders · 2013Pooled it
- Trial
- A Critical Appraisal of the Measurement of Adaptive Social Communication Behaviors in the Behavioral Intervention Context.Behavioral sciences (Basel, Switzerland) · 2025Review
- Personalized recommendation algorithm for rehabilitation intervention in children with autism spectrum disorder based on the cognitive diagnosis model.Frontiers in psychology · 2025Article
- Differential item functioning in the children autism rating scale first edition in children with autism spectrum disorder based on a machine learning approach.Frontiers in neurology · 2025Article
- The effect of sulforaphane on autism spectrum disorder: systematic review and meta-analysis.EXCLI journal · 2025Review
- Model selection to achieve reproducible associations between resting state EEG features and autism.Scientific reports · 2024Article
- Assessment of Autism Spectrum Disorder.Assessment · 2024Review
- Utility of the 3Di short version in the identification and diagnosis of autism in children at the Kenyan coast.Frontiers in psychiatry · 2024Article
- Differential item functioning in the autism behavior checklist in children with autism spectrum disorder based on a machine learning approach.Frontiers in psychiatry · 2024Article
- The fuzzy boundaries of the social (pragmatic) communication disorder (SPCD): Why the picture is still so confusing?Heliyon · 2023Review
- Autism Spectrum Disorder Diagnostic Criteria Changes and Impacts on the Diagnostic Scales-Utility of the 2nd and 3rd Versions of the Gilliam Autism Rating Scale (GARS).Brain sciences · 2022Article
- Social communication in fragile X syndrome: pilot examination of the Brief Observation of Social Communication Change (BOSCC).Journal of neurodevelopmental disorders · 2022Article
- mTOR-Dependent Spine Dynamics in Autism.Frontiers in molecular neuroscience · 2022Review
- The Diagnosis of Autism: From Kanner to DSM-III to DSM-5 and Beyond.Journal of autism and developmental disorders · 2021Review
- Validity of the Friedrich Short Form of the Questionnaire on Resources and Stress in Parents of Individuals with Autism Spectrum Disorder.International journal of environmental research and public health · 2021Article
- Molecular Pathways within Autism Spectrum Disorder Endophenotypes.Journal of molecular neuroscience : MN · 2021Article
- Serum adiponectin levels are reduced in autism spectrum disorder and association with severity of symptoms.Metabolic brain disease · 2021Article
- How well are DSM-5 diagnostic criteria for ASD represented in standardized diagnostic instruments?European child & adolescent psychiatry · 2021Article
- Comparing Rates of Diagnosis Using DSM-IV-TR Versus DSM-5 Criteria for Autism Spectrum Disorder.Journal of autism and developmental disorders · 2020Article
14 more citing papers are in PubMed but not listed here.
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Authors and funding
3 authors.
Funding
Abstract
objectiveTo use confirmatory factor analysis to test the construct validity of the proposed DSM-5 symptom model of autism spectrum disorder (ASD), in comparison to alternative models, including that described in DSM-IV-TR.
methodParticipants were 708 verbal children and young persons (mean age, 9.5 years) with mild to severe autistic difficulties. Autistic symptoms were measured using the Developmental, Dimensional and Diagnostic interview (3Di). The fit of the two-factor DSM-5 model, which has a social communication and a restricted, repetitive behavior (RRB) factor, was compared with that of alternative models. In one half of the sample, properties of the DSM-5 model were examined to investigate the validity of specific diagnostic criteria, informing the development of a better fitting DSM-5 model. This was then cross-validated in the remaining "hold-out" half of the sample; and its stability was tested across groups defined by age, sex, and symptom severity.
resultsThe DSM-5 model was superior to the three-factor DSM-IV-TR model. It was improved by the removal of items measuring "play and imagination" and "stereotyped and repetitive use of language." A scale measuring sensory abnormalities was added to the model, and loaded onto its RRB factor. This DSM-5 model fit well in the hold-out sample; was stable across age and sex; and fit adequately in those with clinical and sub-threshold autistic presentations.
conclusionsAmong higher-functioning individuals, ASD is a dyad, not a triad, with distinct social communication and repetitive behavior dimensions. As suggested in the proposed DSM-5 criteria, sensory abnormalities are part of the RRB symptom cluster.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.